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25 | Licensing Program Analyst (LPA) Marcella Tarin arrived unannounced to conduct a Case Management-Annual Continuation visit and met with Administrator John Gryspos, Jr. This annual inspection is a continuation of the annual visit that was conducted on 2/18/2025. During today's visit, there are 6 residents and 2 caregivers.
LPA reviewed 6 resident records. 5 out 6 resident records included physician's reports, needs and service plans, emergency contact information. Resident R4's physician report was incomplete. LPA advised ADM, prior to a person's acceptance as a resident, the licensee shall obtain documentation of a medical assessment, signed by a licensed medical professional acting within the scope of their practice.
LPA reviewed 6 staff records. 6 out of 6 staff records included medical assessments with TB results, California fingerprint clearance, and staff training.
LPA reviewed 6 residents Centrally Stored Medication and Destruction Records (CSMDRs). 6 CSMDRs were documented accurately.
The facility was equipped with smoke and carbon monoxide detectors. All smoke detectors functioned properly when tested by ADM. Fire extinguishers were last serviced on 8/8/2024. LPA reviewed the facility first aid kit, and it was observed to be complete. The facility emergency drill log was reviewed. The facility's last drill was on 2/12/2025.
No deficiencies cited during today's visit per California Code of Regulations, Title 22. A Technical Assistance was issued, see LIC9102 for more information. An exit interview was conducted with ADM John Gryspos, Jr and a copy of this report was provided. |